Individual
DIANNA GAY TOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CSA,CST
Contact information
Practice address
600 E TAYLOR ST STE 100, SHERMAN, TX 75090-2882
(903) 868-4595
(903) 868-4597
Mailing address
5012 S US HWY 75, 300, DENISON, TX 75020-4587
(903) 868-4595
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
603943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603943
REGISTERED NURSE LICENSE
TX
Enumeration date
05/26/2011
Last updated
04/03/2018
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